Merwin, Leslie Mark

Merwin, Leslie Mark is an sole proprietor health care provider with primary practice located at 15311 Canyon Rd E , Puyallup WA 98375-7473. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Merwin, Leslie Mark can be contacted via phone (253) 531-2745.

Contact Information

Primary practice address
15311 Canyon Rd E Puyallup WA 98375-7473
Fax: (253) 539-1815
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH00001510 Washington

Profile Details

NPI number 1134347214
LBN Legal business name Merwin, Leslie Mark
Credentials CHIROPRACTOR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134347214 NPPES
Washington Other 0017026 LABOR & INDUSTRIES

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